Menopause Belly Fat: The Hidden Difference Between Dangerous and Stubborn Fat
- Jill Sakolove Ortiz
- 37 minutes ago
- 2 min read
When most women talk about belly fat, they’re usually thinking about the fat they can see and pinch. But there are actually two different types of fat stored in the abdominal area, and they impact health and fat loss very differently.
Understanding the difference can completely change how you approach fat loss — especially during perimenopause and menopause.
The Two Types of Belly Fat
Subcutaneous Fat (The Fat You Can Pinch)
This fat sits just beneath the skin. It’s what creates:
Love handles
Lower belly softness
Thigh and hip fat
Arm fat
While many women dislike how it looks, subcutaneous fat is generally less dangerous from a health standpoint.
Visceral Fat (The Hidden Health Risk)
Visceral fat surrounds your internal organs and sits deep inside the abdominal cavity.
This type of fat is linked to:
Insulin resistance
Heart disease
Type 2 diabetes
Chronic inflammation
Hormonal disruption
Increased metabolic disease risk
Visceral fat is strongly influenced by stress, blood sugar instability, and hormonal changes — all common during menopause.

Which Fat Leaves First During Fat Loss?
This is one of the biggest misconceptions women have.
Visceral fat typically decreases FIRST.
Why?
Visceral fat is metabolically active. It responds quickly to:
Improved nutrition
Exercise
Blood sugar regulation
Stress reduction
This is why many women see improvements in:
✔ Blood pressure
✔ Blood sugar
✔ Energy
✔ Lab markers
Before they see major physical changes in stubborn areas.
Subcutaneous fat tends to be slower to leave.
This fat is influenced more by:
Hormones
Genetics
Long-term calorie balance
Body fat distribution patterns
This is often why the lower belly, hips, and thighs are last to change.
Why Menopause Makes Belly Fat More Stubborn
Estrogen decline shifts fat storage toward the abdomen. Combined with increased insulin resistance and higher cortisol levels, this creates the perfect environment for visceral fat accumulation.
The Good News
Visceral fat responds extremely well to lifestyle changes including:
✔ Strength training✔ Protein intake optimization✔ Blood sugar stabilization✔ Stress management✔ Sleep improvement
Even modest fat loss can significantly reduce health risks.
The Bottom Line
The fat you can see isn’t always the fat posing the greatest health risk. But improving metabolic health almost always improves both.
What You Need to Do Next:
If you’re struggling with stubborn belly fat, low energy, or metabolic changes during menopause, my coaching programs focus on helping women improve body composition while supporting hormones, metabolism, and long-term health.
👉 Schedule a FREE Game Plan Call with me to create a plan tailored to your body and goals.



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